Individual
MS. PRISCILLA JO GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
351 RED ROCK ROAD, LOS CERRILLOS, NM 87010
(505) 274-8939
Mailing address
HC 63 BOX 30, PENA BLANCA, NM 87041-9701
(505) 274-8939
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0653
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD-0653
SELF PAY
NM
Enumeration date
04/08/2019
Last updated
06/11/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us